| NPI | 1982656898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: TX N5408) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD072054L) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX N5408) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-03-07 |